Permit Application
NAME: Ray Garcia
ADDRESS: 21668 CO-69, Gardner, CO 81040
PHONE: 719-250-1505 FAX: EMAIL:
BURN LOCATION: 21668 CO-69, Field Clearing
LANDOWNER: Ray Garcia
BURN SUPERVISOR: Ray Garcia PHONE: 719-250-1505
PROXIMITY TO PUBLIC LANDS: 1/2 Mile
PROXIMITY TO STRUCTURES: 500 Feet
PURPOSE OF BURN: Fire Mitigation
TYPE OF DEBRIS TO BE BURNED: Slash & Timber
TOTAL AMOUNT OF DEBIRS TO BE BURNED: 2 piles, 8x8x8
AUXILLARY FUEL TO BE USED: Diesel/Gas Mix
ALTERATIVE TO BURNING: None
PROPOSED STARTING DATE: 11/20/25
PROPOSED COMPLETION DATE: 11/27/25
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: 1 day, 8 Hours
ADDITIONAL REQUESTS AND INFORMATION:
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